Individual
MR. SKYLAR JAMES WEIRAUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1827 GREENWOOD RD, PRESCOTT, MI 48756-8626
(989) 873-6200
Mailing address
223 REDWINE DR, HOUGHTON LAKE, MI 48629-9135
(989) 890-4729
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704366042
MI
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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